NMG AFFILIATE PRACTICE I, LLC (NPI# 1154701878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154701878 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH PRINCE WILLIAM CARDIOLOGY |
| Practice Address |
8567 Sudley Rd Ste B Manassas VA 20110-3865 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033695959 |
| Practice Fax Number | 7033697473 |
| Mailing Telephone | 7033695959 |
| Mailing Fax Number | 7033697473 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |
| Authorized Official Name | GEOFFERY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Prince William Cardiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| 1386113835 | Nmg Affiliate Practice I, LLC | Pediatrics | 8180 Stonewall Shops Sq, Gainesville, VA 20155-3891 | 2018-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
8567 SUDLEY RD STE B |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578624102 | Prince William Cardiology Associates | Internal Medicine | 8569b Sudley Road, Manassas, VA 20110 | 2006-12-13 |
| 1417064759 | Andres Alisuag Jr. | Internal Medicine | 9001 Digges Road, Suite 101, Manassas, VA 20110-4414 | 2006-08-24 |
| 1336129147 | Michael G Escano | Internal Medicine | 8569 Sudley Rd, Manassas, VA 20110-3863 | 2006-01-18 |
| 1609875434 | Balbir Sidhu | Internal Medicine | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2005-07-14 |
| 1669982526 | Carient Heart & Vascular PC | Internal Medicine | 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | 2017-10-05 |
| 1265827513 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8640 Sudley Rd, Suite 302, Manassas, VA 20110-4420 | 2015-04-03 |
| 1588994255 | Sheila Khianey | Internal Medicine | 8569 Sudley Rd Ste B, Manassas, VA 20110-3866 | 2010-01-01 |
| 1710129515 | Neel Shah | Internal Medicine | 8100 Ashton Ave Ste 200, Manassas, VA 20109 | 2009-03-25 |
| 1578738639 | Alfred C. Burris II | Internal Medicine | 8640 Sudley Rd Ste 302, Manassas, VA 20110-4404 | 2008-04-29 |
| 1063509644 | Qiong Zhao | Internal Medicine | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2006-10-06 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.